Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.53 / $88.94 / $15,744.06	Facility		$49.53	$88.94	$15,744.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.77 / $215.97	Professional		$25.76	$25.77	$215.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $30.87 / $30.87	Facility		$30.87	$30.87	$30.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.45 / $40.46	Professional		$25.77	$27.45	$40.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $44.90 / $142.44	Professional		$25.77	$44.90	$142.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $32.33 / $73.61	Facility		$23.93	$32.33	$73.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $26.64 / $101.56	Professional		$23.93	$26.64	$101.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $34.50 / $55.43	Facility		$28.72	$34.50	$55.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $32.33 / $59.41	Professional		$28.72	$32.33	$59.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $51.15 / $54.87	Professional		$25.80	$51.15	$54.87
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $36.59	Professional		$25.77	$27.32	$36.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Facility		$23.93	$23.93	$23.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $23.93 / $23.93	Professional		$18.89	$23.93	$23.93